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Connect with an SMA Support Specialist

Tell us a little about yourself so we can connect you with the right support. This should only take a couple of minutes.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Email Address *This question is required. This question requires a valid email address.

4. Phone Number

5. How would you describe yourself? *This question is required.

Please enter an 'other' value for this selection. * This question is required.

6. Have you spoken with a doctor about SMA treatment options? *This question is required.

7. What would you most like help with? (select all that apply) *This question is required.

Learning about FDA-approved treatment options
Preparing questions to discuss with my doctor
Finding an SMA specialist or neurologist
Connecting with others in the adult SMA community
Learning about Cure SMA events or programs
Staying informed on SMA research
Something else (please describe) Please enter an 'other' value for this selection. * This question is required.

8. Is there anything specific you'd like us to know before we reach out?
Feel free to share as much or as little as you'd like.

9. Stay in Touch

I'd like to receive updates, resources, and news from Cure SMA.

By submitting this form, you agree to be contacted by a Cure SMA support specialist. Cure SMA does not provide medical advice or recommend specific treatments. Your information will not be shared with third parties.